• child's gender:
  • Any allergies or special dietary requirements?:
  • Any medical or behavioural conditions, or special learning needs?:
  • Can your child swim at least one length of a standard pool unaided?:


  • I agree to my child being included in any photos/recordings/filming:
  • I consent to my child receiving first aid treatment if required:

  • I have read and agree to the terms and conditions:
  • DATE:

PREFER TO COMPLETE A HARD COPY? No problem - click here to download a form then either email it to [email protected] or post/pop in to see Margaret at The Bursary, Sherborne Prep, 39 Acreman St, Sherborne, DT9 3NY